Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals.

BACKGROUND: Posteroanterior and lateral cephalogram have been widely used for evaluating the necessity of orthognathic surgery. The purpose of this study was to develop a deep learning network to automatically predict the need for orthodontic surgery using cephalogram. METHODS: The cephalograms of 840 patients (Class ll: 244, Class lll: 447, Facial asymmetry: 149) complaining about dentofacial dysmorphosis and/or a malocclusion were included. Patients who did not require orthognathic surgery were classified as Group I (622 patients-Class ll: 221, Class lll: 312, Facial asymmetry: 89). Group II (218 patients-Class ll: 23, Class lll: 135, Facial asymmetry: 60) was set for cases requiring surgery. A dataset was extracted using random sampling and was composed of training, validation, and test sets. The ratio of the sets was 4:1:5. PyTorch was used as the framework for the experiment. RESULTS: Subsequently, 394 out of a total of 413 test data were properly classified. The accuracy, sensitivity, and specificity were 0.954, 0.844, and 0.993, respectively. CONCLUSION: It was found that a convolutional neural network can determine the need for orthognathic surgery with relative accuracy when using cephalogram.

Spraying of Leaf-Colonizing Bacillus amyloliquefaciens Protects Pepper from Cucumber mosaic virus.

Beneficial plant-associated bacteria protect host plants against pathogens, including viruses. However, leaf-associated (phyllosphere) bacteria have rarely been investigated as potential triggers of plant systemic defense against plant viruses. We found that leaf-colonizing Bacillus amyloliquefaciens strain 5B6 (isolated from a cherry tree leaf) protected Nicotiana benthamiana and pepper plants against Cucumber mosaic virus (CMV). In a field trial, treatment with strain 5B6 significantly reduced the relative contents of CMV coat protein RNA compared with the water control over a 3-year period, as revealed by quantitative reverse-transcription polymerase chain reaction. The expression of Capsicum annuum pathogenesis-related (PR) genes CaPR4, CaPR5, and CaPR10 was upregulated in field-grown pepper plants treated with strain 5B6. In addition, the accumulation of two naturally occurring viruses, Broad bean wilt virus and Pepper mottle virus, was reduced by foliar treatment with strain 5B6, which is similar to the results for benzothiadiazole treatment as a positive control. Taken together, the results suggest that strain 5B6 has strong potential for protecting plants against viruses by increasing defense priming of salicylic acid and jasmonic acid signaling in pepper under field conditions. This is the first report of the protection of a plant against viral diseases by foliar application of leaf-associated bacilli.